• Additional covered services are different
depending on the plan you choose. Some
MLTC plans pay for hospital stays and
doctor visits.
or a full list of covered services, please
F
see http://www.health.ny.gov/health_care/
managed_care/mltc/coverservices.htm
334012/16
Department
of Health
Follow us on:
health.ny.gov
facebook.com/NYSDOH
twitter.com/HealthNYGov
youtube.com/NYSDOH
– Nursing home care and more.
– Social day care and adult day
health care
– Personal emergency response
system
– Home delivered meals
– Non-emergency transportation
to receive medically necessary
services
– Personal care
– Dental services
– Home care
– Care management
• All MLTC plans arrange and pay for the
following health and long-term care
services (as long as they are medically
necessary):
• Managed long-term care (MLTC) helps
people who are chronically ill or have
disabilities and who need health and longterm care services, such as home care or
adult day health care, stay in their homes
and communities as long as possible.
About Managed Long-Term Care
http://www.health.ny.gov/
health_care/managed_care/
mltc/consumer_guides/
Copies of this guide are
available at:
1-866-712-7197
New York State
Department of Health
MLTC Complaint Hotline
If you have a problem with your
health plan, call:
in the Hudson
2016
Choosing a managed long-term care (MLTC) plan
that meets your health needs is an important decision. This brochure will
help you make that decision by providing information about the quality
of care offered by the different plans and people’s opinions about the
care and the services the plans provide.
Managed Long-Term Care Plans
in the Hudson Valley
There are four types of MLTC plans: Partial Capitation Plans, Program
of All-inclusive Care for the Elderly (PACE), Medicaid Advantage Plus (MAP),
and Fully Integrated Duals Advantage (FIDA). Each plan covers the same
base set of services, with certain plans covering additional services. To be
eligible for any plan, you must meet certain age, health-status, and living
arrangement requirements.
Member Services
Phone Numbers
Web Sites
Dutchess
Orange
Putnam
Rockland
Sullivan
Ulster
Westchester
Valley
Long-Term Care
Managed
A Consumer’s Guide to
Important Numbers
Hudson Valley
Partial Capitation Plans AgeWell New York
AlphaCare of New York
ArchCare Community Life
Centers Plan for Healthy Living
Elderplan dba Homefirst
ElderServe dba RiverSpring
EverCare Choice
Fidelis Care at Home
GuildNet
Hamaspik Choice
Integra MLTC
Montefiore MLTC
Prime Health Choice
Senior Health Partners
VNS CHOICE MLTC
WellCare Advocate Partial
1-800-288-5441••••
www.wellcare.com
1-855-282-4642
www.vnsnychoice.org
1-800-633-9717•
www.shpny.org
1-855-777-4630
www.primehealthchoice.com
1-855-556-6683•
www.montefiore.org
1-855-800-4683•
www.integraplan.org
1-855-552-4642
www.hamaspikchoice.org
1-800-932-4703•
www.guildnetny.org
1-888-343-3547
www.fideliscare.org
1-877-255-3678
www.evercare.org
1-800-370-3600•
www.elderservehealth.org
1-866-386-4177
www.homefirst.org
1-855-270-1600
www.centersplan.com
1-855-380-2589••
www.archcare.org
1-855-652-5742•
www.alphacare.com
1-866-586-8044•
www.agewellnewyork.com
•
•
•••••••
•••
•••••••
••••••
••••
•••••••
Program of All-Inclusive Care for the Elderly (PACE) CenterLight PACE
www.centerlighthealthcare.org
1-877-226-8500•
Medicaid Advantage Plus (MAP)
Elderplan
VNS CHOICE Total
1-855-747-5483
www.phpcares.org
1-855-282-4642•
www.vnsnychoice.org
1-866-360-1934•
www.elderplan.org
Fully Integrated Duals Advantage (FIDA)
Partners Health Plan IDD
•
•
Not every plan may be accepting new enrollment. Please call the plan member services phone number listed above to confirm availability.
334012/16
Department
of Health
• Additional covered services are different
depending on the plan you choose. Some
MLTC plans pay for hospital stays and
doctor visits.
Follow us on:
health.ny.gov
facebook.com/NYSDOH
twitter.com/HealthNYGov
youtube.com/NYSDOH
For a full list of covered services, please
see http://www.health.ny.gov/health_care/
managed_care/mltc/coverservices.htm
– Nursing home care and more.
– Social day care and adult day
health care
– Personal emergency response
system
– Home delivered meals
– Non-emergency transportation
to receive medically necessary
services
– Personal care
– Dental services
http://www.health.ny.gov/
health_care/managed_care/
mltc/consumer_guides/
Copies of this guide are
available at:
– Home care
– Care management
• All MLTC plans arrange and pay for the
following health and long-term care
services (as long as they are medically
necessary):
• Managed long-term care (MLTC) helps
people who are chronically ill or have
disabilities and who need health and longterm care services, such as home care or
adult day health care, stay in their homes
and communities as long as possible.
About Managed Long-Term Care
in the Hudson
1-866-712-7197
Long-Term Care
New York State
Department of Health
MLTC Complaint Hotline
Managed
If you have a problem with your
health plan, call:
A Consumer’s Guide to
Important Numbers
Hudson Valley
Westchester
Ulster
Sullivan
Member Services
Phone Numbers
Rockland
Web Sites
Putnam
Managed Long-Term Care Plans
in the Hudson Valley
Orange
2016
that meets your health needs is an important decision. This brochure will
help you make that decision by providing information about the quality
of care offered by the different plans and people’s opinions about the
care and the services the plans provide.
There are four types of MLTC plans: Partial Capitation Plans, Program
of All-inclusive Care for the Elderly (PACE), Medicaid Advantage Plus (MAP),
and Fully Integrated Duals Advantage (FIDA). Each plan covers the same
base set of services, with certain plans covering additional services. To be
eligible for any plan, you must meet certain age, health-status, and living
arrangement requirements.
Dutchess
Valley
Choosing a managed long-term care (MLTC) plan
Partial Capitation Plans AgeWell New York
www.agewellnewyork.com
1-866-586-8044•
AlphaCare of New York
www.alphacare.com
1-855-652-5742•
ArchCare Community Life
www.archcare.org
1-855-380-2589••
Centers Plan for Healthy Living
www.centersplan.com
1-855-270-1600
Elderplan dba Homefirst
www.homefirst.org
1-866-386-4177
ElderServe dba RiverSpring
www.elderservehealth.org
1-800-370-3600•
EverCare Choice
www.evercare.org
1-877-255-3678
•••
Fidelis Care at Home
www.fideliscare.org
1-888-343-3547
•••••••
GuildNet
www.guildnetny.org
1-800-932-4703•
Hamaspik Choice
www.hamaspikchoice.org
1-855-552-4642
Integra MLTC
www.integraplan.org
1-855-800-4683•
Montefiore MLTC
www.montefiore.org
1-855-556-6683•
Prime Health Choice
www.primehealthchoice.com
1-855-777-4630
Senior Health Partners
www.shpny.org
1-800-633-9717•
VNS CHOICE MLTC
www.vnsnychoice.org
1-855-282-4642
WellCare Advocate Partial
www.wellcare.com
1-800-288-5441••••
•
•
•••••••
••••••
••••
•••••••
Program of All-Inclusive Care for the Elderly (PACE) CenterLight PACE
www.centerlighthealthcare.org
1-877-226-8500•
Medicaid Advantage Plus (MAP)
Elderplan
www.elderplan.org
1-866-360-1934•
VNS CHOICE Total
www.vnsnychoice.org
1-855-282-4642•
www.phpcares.org
1-855-747-5483
Fully Integrated Duals Advantage (FIDA)
Partners Health Plan IDD
Not every plan may be accepting new enrollment. Please call the plan member services phone number listed above to confirm availability.
•
•
2016
Hudson Valley
A Consumer’s Guide to
Managed Long-Term Care in the Hudson Valley
More stars mean better health
plan performance with 5 stars
being the best.
Health Plan
Preventive Care
Prevention
Patient
Safety
Satisfaction with Care
Advanced
Directives
Quality
of Life
Rating of
Health Plan
Rating of
Regular
Visiting
Nurse
Rating
of Care
Manager
Stability or Improvement
Timeliness
of Aide
ADL
Stable or
Improved
Pain
Intensity
Stable or
Improved
Shortness
of Breath
Stable or
Improved
Urinary
Continence
Stable or
Improved
Overall
Rating
Partial Capitation Plans
AgeWell New York
AlphaCare of New York
ArchCare Community Life
CenterLight Select
Centers Plan for Healthy Living
Elderplan dba Homefirst
ElderServe dba RiverSpring
EverCare Choice
Fidelis Care at Home
GuildNet
Hamaspik Choice
Integra MLTC
Montefiore MLTC
Prime Health Choice
Senior Health Partners
VNS CHOICE MLTC
WellCare Advocate Partial
HHHH
HHH
HHH
HHH
H
HHH
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H
HH
HHH
HHHH
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HHHHH
HH
HHHH
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HHHHH
H
HHH
HHHH
H
H
H
HH
HH N/A
HH
H
HHH
HHHH
HHH N/A
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H N/A N/A N/A N/A
HH
HHHH
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HHH
HHH N/A N/A N/A N/A
HHH N/A N/A N/A N/A
HHHH
H
H
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HH
HHHH
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HHH
HHHH
HHH
HHH
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HHHH
HHH
HHHHH
HHH
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HHHHH
H
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H
HHHHH
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H
H
HHHHH
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H
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HHH
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HHHH
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H
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HHH
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H
H
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H
HHH
HHHHH
HHHHH
HHH
HHH
HHHHH
HH
HHH
HHH
HHH
H
H
HH
HHHHH
HH
HH
HHH
H
HHHHH
HH
HHH
HHHH
HHH
HHH
HHH
HH
HHH
HH
H
HHH
HHHHH
H
HH
H
H
HHHH
HHHHH
HHH
HH
HHH
H
HH
HHH
HHH
H
HH
HH
HHHHH
HH
HHH
HHH
HH
HHH
HHH
HHH
HHHHH
HHHHH
HHHHH
HHHHH
HHHHH
HH
HHH
HHH
HHH
HHH
HHHH
HHH
HHH
HHH
HHHH
HH
HHHHH
HHH
HHHH
HHHH
HHHHH
HHHH
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HHH
HHHH
HH
HHHHH
HH
HHHH
HHHH
—
—
—
—
—
—
—
—
—
—
—
—
—
Program of All-Inclusive Care for the Elderly (PACE)
CenterLight PACE
Medicaid Advantage Plus (MAP)
Elderplan
VNS CHOICE Total
Fully Integrated Duals Advantage (FIDA)
No FIDA plans in this region
N/A Not able to report performance due to small numbers.
Plan performance data are not available for Partners Health Plan IDD.
Ratings are based on a comparison of plan rates to statewide averages. Quality ratings are from information submitted by the Managed Long-Term Care Plans. Member Satisfaction ratings, Advanced Directives, and one component within the Quality of Life domain are from a Department of Health survey.
The quality of care measures used in this guide represent some, but not all, of the measures from Managed Long-Term Care plans. For additional information about the individual measures included in each category, as well as the other quality of care measures available such as nursing home utilization, please see the New York State Department of Health website: http://www.health.ny.gov/health_care/managed_care/mltc